Triple emergencies: Hyperosmolar hyperglycemic state, venous thromboembolism, and huge free‐floating right heart thrombus successfully managed with anticoagulation

A 57‐year‐old man, with type 2 diabetes mellitus, was admitted with a hyperosmolar hyperglycemic state, who developed in‐hospital venous thromboembolism with huge free‐floating right heart thrombus, and there is no available optimal treatment option for the huge free‐floating right heart thrombus, except anticoagulation with warfarin and low molecular weight heparin with successful outcome. In a resource‐constrained setting, therapeutic anticoagulation though less favored may be helpful with a favorable outcome in the absence of an optimal therapeutic strategy in patients with HHS who develop VTE and right heart thrombus.